=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669318820
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROCONNECTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 191 LIGHTHOUSE AVE APT 1
-----------------------------------------------------
City | MONTEREY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93940-1764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-869-8666
-----------------------------------------------------
Fax | 831-281-3636
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 191 LIGHTHOUSE AVE APT 1
-----------------------------------------------------
City | MONTEREY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93940-1764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-869-8666
-----------------------------------------------------
Fax | 831-281-3636
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | ROXANA D BLOCH
-----------------------------------------------------
Credential | ED.D, BCBA, QBA, LBA
-----------------------------------------------------
Telephone | 818-602-8703
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------